(Any and all clinical work is done under the direct supervision of a licensed midwife.)
Being a midwife apprentice/student midwife is such an amazing experience. As an apprentice in the assist phase of clinical work, I am able to perform the tasks of a midwife assistant while under a licensed midwife’s supervision. Because of this, I have already been able to check for fetal heart tones using a Doppler during prenatals and during labor. I have checked blood pressure, measured fundal height, and checked for baby’s position externally. I have handed the midwife anything she needs during labor and birth, and I have charted during prenatals and labor.
The newest thing I’ve done is catch a placenta and perform a newborn exam! Catching the placenta is right there next on the level of awesomeness as that of catching the baby.
This is completely new territory for me, because, as a doula, my scope of practice was only that of providing education and comfort measures. I explicitly state on my doula website that I cannot perform any clinical work, whatsoever; I cannot even perform a simple temperature reading. As my role has now switched to an apprentice, I am in awe at what I can do under the direction of my preceptor (or any licensed midwife). Yes, even that simple temperature, I can now perform as an student midwife. It feels completely different, but I am enjoying every minute of it!
This weekend I had the opportunity to perform a newborn exam with my preceptor’s instruction. To have the opportunity to weigh and measure a newborn and perform other exams on the baby, is such wonderful experience! The baby’s skin, freshly born, is the softest feeling ever. I was ever so careful with the baby, and spoke to the baby as I performed the exam. This baby was so peaceful, and allowed me to perform all tasks.
As I go along my journey, I plan on learning from a variety of licensed midwives. Each one will be able to teach me from their vast knowledge and expertise. Gaining lots of experience from different midwives is the best way for me to know how my future practice will function. My current preceptor is so patient and calm while she teaches me. She instructs me with such kindness. I’m honored to be learning under her tutelage and gaining knowledge from her years of experience.
Please enjoy these pictures of my first newborn exam which were taken by the family’s doula. They are shared with permission.
Left photo: I am using a student stethoscope to listen to heart rate and respirations while my preceptor also listens. She is able to verify that my count is accurate.
Center photo: I am measuring the baby’s chest. My preceptor is next to me verifying that I measured correctly. I was actually measuring too low, so she let me know that I needed to measure at the baby’s nipples.
Right photo: I am weighing the baby using my preceptor’s scale and sling. Dad is standing right next to me reading off the weight.